Vontray Lewis Taylor, is a
Massage Therapist based in Imperial, California. Vontray Lewis Taylor is licensed to practice in California (license number 87283) and his current practice location is
2736 Spring St, Imperial, California. He can be reached at his office (for appointments etc.) via phone at
(951) 775-0584.
NPI number for Vontray Lewis Taylor is 1629739511 and his current mailing address is 2736 Spring St, Imperial, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629739511.
Healthcare Provider's Profile
| Full Name | Vontray Lewis Taylor |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 2736 Spring St, Imperial, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629739511
- Provider Enumeration Date: 01/04/2022
- Last Update Date: 01/04/2022
Medical Identifiers
Medical identifiers for Vontray Lewis Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629739511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 87283 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vontray Lewis Taylor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vontray Lewis Taylor,
2736 Spring St,
Imperial, CA 92251-3015
Ph: (951) 775-0584 | Vontray Lewis Taylor,
2736 Spring St,
Imperial, CA 92251-3015
Ph: (951) 775-0584 |
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